IndividualActive
Ashwin Bavisi
NPI 1861607871 · Pharmacist · Addison, IL
Provider details
- NPI number
- 1861607871
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 051-031246 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
140 W Lake St
Addison, IL 60101-2720
Phone: (630) 628-6904
Approximate (ZIP-level) locationGet directions
Mailing address
140 W Lake St
Addison, IL 60101-2720
Registry dates
- Enumerated
- 2007-05-12
- Last updated
- 2008-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.